2020-11-13T07:12:18-06:00 2020-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-07-01 952687213 NORTHEAST COMMUNITY CLINIC NORT 6264576900 2550 W MAIN STREET NO 301 ALHAMBRA CA 91801 CHRISTOPHER LAU MD EXECUTIVE DIRECTOR 6264576900 2020-11-12 1 MICHAEL J PETERSON CPA P01833529 2187224705 2020-11-12 71.13.38.61 2020-11-12 17:16:45 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 2019 2021-01-29 14:40:06Z CHRISTOPHER LAU MD 2550 W MAIN STREET NO 301 ALHAMBRA CA 91801 43908937 0 X WWW.NORTHEASTCOMMUNITYCLINICS.COM X 1971 CA NECC PROVIDES A CONTINUUM OF COMPREHENSIVE HEALTHCARE THROUGH THE PROMOTION OF HEALTH AND DISEASE PREVENTION, EDUCATION AND COORDINATION OF SERVICES TO MEDICALLY UNDERSERVED AND UNINSURED POPULATIONS OF LOS ANGELES, REGARDLESS OF FINANCIAL STATUS. AS A PREMIER PROVIDER FOR THE AFFORDABLE CARE ACT WE ARE COMMITTED TO TAILORING OUR SERVICES TO THE HEALTHCARE NEEDS OF OUR PATIENTS. 11 11 463 10 -30342 -30342 4222381 8382854 33144839 33595911 1188 278568 34533 -137371 37402941 42119962 0 0 0 0 25472957 24366324 0 0 0 13197530 13626794 38670487 37993118 -1267546 4126844 26168743 29554503 9496747 8755663 16671996 20798840 NECC'S MISSION IS TO PROVIDE COMPREHENSIVE, QUALITY HEALTHCARE IN A CULTURALLY SENSITIVE AND LINGUISTICALLY COMPETENT MANNER TO LOW-INCOME, UNDERSERVED, AND INDIGENT PATIENTS IN THE COMMUNITIES OF THE LOS ANGELES REGION, REGARDLESS OF FINANCIAL STATUS. 0 0 30025329 0 33614469 DURING THE REPORTING YEAR, THE NORTHEAST COMMUNITY CLINIC (NECC) OPERATED 15 OUTPATIENT CLINICS IN THE GREATER LOS ANGELES AREA PROVIDING LOW COST PRIMARY HEALTH CARE, BEHAVIORAL HEALTH, AND DENTAL SERVICES TO APPROXIMATELY 42,823 PATIENTS FOR A TOTAL OF 142,360 PATIENT VISITS. ANCILLARY SERVICES PROVIDED TO PATIENTS INCLUDED, LABORATORY, PHARMACY, RADIOLOGY, AND ULTRASOUND SERVICES. 30025329 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 90 0 463 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JAN ZHOU 6264576900 2550 W MAIN STREET NO 301 ALHAMBRA CA 91801 KENNETH SHAN WAIN LEE MEDICAL PROVIDER 40.00 X 313116 0 20388 ESPERANZA RAMIREZ MEDICAL PROVIDER 40.00 X 294925 0 10836 RUBEN MUNOZ MEDICAL PROVIDER 40.00 X 251916 0 6274 AZADEH SALAMI MEDICAL PROVIDER 40.00 X 237008 0 993 MAYO RALPH DELILY III MEDICAL PROVIDER 40.00 X 230366 0 6274 CHRISTOPHER T LAU CEO 50.00 X 314990 0 6274 MARK GONZALEZ CHAIRPERSON 1.00 X X 0 0 0 IRENE HUERTA VICE-CHAIRPERSON 1.00 X X 0 0 0 MONICA GUARDIAN SECRETARY 1.00 X X 0 0 0 DALIA JARAMILLO TREASURER 1.00 X X 0 0 0 MELISSA AGUILAR DIRECTOR 1.00 X 0 0 0 KNIA FRANK DIRECTOR (THRU NOV) 1.00 X 0 0 0 KATRINA MANNING DIRECTOR 1.00 X 0 0 0 RUBY MEDRANO DIRECTOR 1.00 X 0 0 0 ROBERT NAKAHIRO DIRECTOR 1.00 X 0 0 0 GISELLE NAVAR DIRECTOR 1.00 X 0 0 0 PATRICIA SANDERS DIRECTOR 1.00 X 0 0 0 1642321 0 51039 44 0 1 0 ACCESS CONTROL SECURITY INC P O BOX 3791 CHATSWORTH CA 91313 SECURITY 690271 SIGNATURE STAFF RESOURCES LLC 2460 NORTH F M 740 HEATH TX 75032 STAFFING RESOURCES 238496 MADY MAINTENANCE 121 E AVE 33 LOS ANGELES CA 90031 JANITORIAL SERVICES 233757 QUALITY MOBILE IMAGING 2648 E WORKMAN AVE 233 WEST COVINA CA 91790 IMAGING SERVICES 189585 RANDALL HOLMES CONSTRUCTION 5344 W 118TH ST REAR BLDG INGLEWOOD CA 90304 CONSTRUCTION SERVICES 186737 5 8153304 229550 1037939 8382854 PATIENT SERVICE REVENUE 621110 21026831 21026831 CAPITATION AND INCENTIVES 621110 11507395 11507395 PHARMACY 340B 621110 1061685 1061685 33595911 1355 1355 283358 439287 -155929 -155929 -112363 -43566 1626901 1349688 277213 277213 82021 195192 18558 18558 18558 42119962 33614469 -30342 152981 321264 321264 20297552 16983002 3314550 1842825 1472445 370380 1904683 1516707 387976 80563 80563 59530 59530 3211987 1880590 1331397 682425 123331 559094 3047996 2515478 532518 63992 18692 45300 35364 35364 380451 367346 13105 1499404 1302356 197048 243817 198528 45289 SUPPLIES AND MINOR EQUI 3474259 3018339 455920 REPAIRS AND MAINTENANCE 523204 449226 73978 TAXES AND LICENSES 186836 133673 53163 DUES AND SUBSCRIPTIONS 120590 120590 16376 10252 6124 37993118 30025329 7967789 0 1344057 2293902 3053651 6670808 3453227 4229772 139146 248947 24454978 9110198 17322379 15344780 606608 606608 90692 60462 158983 99224 26168743 29554503 1807408 1708282 16667 1258128 43646 33433 6847858 5123954 781168 631866 9496747 8755663 X 16671996 20798840 16671996 20798840 26168743 29554503 4126844 0 X 0 1 X 1 1 1 X 4807494 2242339 3316649 4222381 8382854 22971717 27708690 29926076 32193141 33144839 33595911 156568657 14403 20019 7150 41572 32530587 32188434 35516940 37367220 41978765 179581946 0 0 0 179581946 383277 369662 321027 313185 283358 1670509 383277 369662 321027 313185 283358 1670509 471 27148 109184 69849 18558 225210 32914335 32585244 35947151 37750254 42280681 181477665 0.98960 0.98570 0.00920 0.01050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1790000 1790000 13017460 2400654 10616806 2846175 663545 2182630 6303294 5954483 348811 498049 91516 406533 15344780 DEFERRED RENT 631866 631866 X 42557135 439287 439287 42117848 2114 2114 42119962 38279697 439287 439287 37840410 152708 152708 37993118 PART IV, LINE 2B: THE ORGANIZATION HOLDS SECURITY DEPOSITS. PART X, LINE 2: NECC IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. NECC IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. FEDERAL AND STATE INCOME TAXES ARE PAID ON NONEXEMPT UNRELATED BUSINESS INCOME IN ACCORDANCE WITH THE CODE. CURRENT ACCOUNTING GUIDELINES REQUIRE AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. NECC RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. TAX RETURNS FOR TAX YEARS 2017 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 439,287. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL REVENUE ADJUSTMENT FROM CONSOLIDATED AUDIT 2,114. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 439,287. PART XII, LINE 4B - OTHER ADJUSTMENTS: NECC HOLDINGS RENTAL INCOME 379,970. NECC HOLDINGS EXPENSES -227,262. X X 0 0 0 0 0 0 0 0 0 KENNETH SHAN WAIN LEE MEDICAL PROVIDER 313116 0 0 0 0 0 0 0 20388 0 333504 0 0 0 ESPERANZA RAMIREZ MEDICAL PROVIDER 294925 0 0 0 0 0 0 0 10836 0 305761 0 0 0 RUBEN MUNOZ MEDICAL PROVIDER 251916 0 0 0 0 0 0 0 6274 0 258190 0 0 0 AZADEH SALAMI MEDICAL PROVIDER 237008 0 0 0 0 0 0 0 993 0 238001 0 0 0 MAYO RALPH DELILY III MEDICAL PROVIDER 230366 0 0 0 0 0 0 0 6274 0 236640 0 0 0 CHRISTOPHER T LAU CEO 314990 0 0 0 0 0 0 0 6274 0 321264 0 0 0 X 1 1037939 FMV 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS, EXECUTIVE DIRECTOR, OPERATIONS DIRECTOR, CLINICAL SERVICES DIRECTOR, FINANCE DIRECTOR, ALL PROGRAM DIRECTORS AND MANAGEMENT. ON AN ANNUAL BASIS THESE INDIVIDUALS REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. THE BOARD REVIEWS ANY POTENTIAL BOARD MEMBER CONFLICTS AND EXECUTIVE DIRECTOR REVIEWS ALL OTHER POTENTIAL CONFLICTS. BOARD MEMBERS CANNOT VOTE ON CONFLICT ITEMS AND OTHER OFFICERS AND DIRECTORS CANNOT MAKE DECISIONS IN AREAS WITH CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE EXECUTIVE AND SENIOR MANAGEMENT OF NECC IS REVIEWED BY THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE FULL MEMBERSHIP BOARD. ALL COMPENSATION IS CONSISTENT WITH COMPARABLE SALARIES PAID BY SIMILAR ORGANIZATIONS WITHIN THE GREATER LOS ANGELES AREA BASED ON THE ANNUAL SURVEY BY THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. NECC HAWTHORNE HOLDINGS LLC 2550 W MAIN STREET STE 301 ALHAMBRA CA 91801 465067653 REAL ESTATE HOLDING COMPANY CA 274637 4442210 NORTHEAST COMMUNITY CLINIC SFVA HOLDINGS LLC 2550 W MAIN STREET STE 301 ALHAMBRA CA 91801 911006143 REAL ESTATE HOLDING COMPANY CA 407556 0 NORTHEAST COMMUNITY CLINIC NECC HOLDINGS LLC 2550 W MAIN STREET STE 301 ALHAMBRA CA 91801 271930203 REAL ESTATE HOLDING COMPANY CA NORTHEAST COMMUNITY CLINIC C 379970 3100130 1.00000 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 NECC HOLDINGS LLC K 379970 FMV